Accountability, utilization and providers for diabetes management in Taiwan, 2000-2009: An analysis of the National Health Insurance database

Journal of the Formosan Medical Association

Volumn 111, Issue 11, 2012, Pages 605-616

  Chang, Tien Jyun ^a   Jiang, Yi Der ^a   Chang, Chia Hsiun ^a,b   Chung, Ching Hu ^c   Yu, Neng Chun ^d   Chuang, Lee Ming ^a,b  

^a NATIONAL TAIWAN UNIVERSITY HOSPITAL   (Taiwan)

^b NATIONAL TAIWAN UNIVERSITY   (Taiwan)

^c TZU CHI UNIVERSITY   (Taiwan)

^d Neng Chun Diabetes Clinic   (Taiwan)

Author keywords

Accountability; Diabetes; Health provider; Utilization

Indexed keywords

AMBULATORY CARE; ARTICLE; CARDIOVASCULAR DISEASE; CEREBROVASCULAR ACCIDENT; CLINICAL EXAMINATION; CONTROLLED STUDY; DATA BASE; DIABETES MELLITUS; DIABETIC NEPHROPATHY; DIABETIC PATIENT; DIABETIC RETINOPATHY; EMERGENCY CARE; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HEMODIALYSIS; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; ICD-9-CM; MAJOR CLINICAL STUDY; MEDICAL EXAMINATION; MULTICENTER STUDY; NATIONAL HEALTH INSURANCE; OUTCOME ASSESSMENT; OUTPATIENT DEPARTMENT; PERIPHERAL VASCULAR DISEASE; TAIWAN; TREND STUDY;

ADULT; AGED; DATABASES, FACTUAL; DIABETES MELLITUS; FEMALE; HEALTH RESOURCES; HOSPITALIZATION; HUMANS; MALE; MORBIDITY; NATIONAL HEALTH PROGRAMS; RETROSPECTIVE STUDIES; SOCIAL RESPONSIBILITY; TAIWAN;

EID: 84872397365     PISSN: None     EISSN: 09296646     Source Type: Journal    
DOI: 10.1016/j.jfma.2012.09.011     Document Type: Article

References (23)

1. Diabetes atlas 2011, International Diabetes Federation, International Diabetes Federation, Brussels, Available at:, [accessed 06.12]. http://www.idf.org/diabetesatlas/5e/diabetes, 5th ed.
2. Diabetes fact sheet (312) 2011, World Health Organization, World Health Organization, Geneva, Available at:, [accessed 21.06.12]. http://www.who.int/mediacentre/factsheets/fs312/en/.
3. Chan J.C., Malik V., Jia W., Kadowaki T., Yajnik C.S., Yoon K.H., et al. Diabetes in Asia. Epidemiology, risk factors, and pathophysiology. JAMA 2009, 301:2129-2140.
4. Chang C.H., Shau W.Y., Jiang Y.D., Li H.Y., Chang T.J., Sheu W.H., et al. Type 2 diabetes prevalence and incidence among adults in Taiwan during 1999-2004: a national health insurance data set study. Diabet Med 2010, 27:636-643.
5. Yu N.C., Su H.Y., Tsai S.T., Lin B.J., Shiu R.S., Hsieh Y.C., et al. ABC control of diabetes: survey data from National Diabetes Health Promotion Centers in Taiwan. Diabetes Res Clin Pract 2009, 84:194-200.
6. Ferris F.L. How effective are treatments for diabetic retinopathy?. JAMA 1993, 269:1290-1291.
7. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 1993, 329:977-986. Diabetes Control and Complications Trial Research Group.
8. Weng R.H., Shiu R.S., Hsieh Y.C. Current status of diabetes shared care in Taiwan. Formos J Med 2002, 6:569-573.
9. McClain M.R., Wennberg D.E., Sherwin R.W., Steinmann W.C., Rice J.C. Trends in the Diabetes Quality Improvement Project measures in Maine from 1994 to 1999. Diabetes Care 2003, 26:597-601.
10. De Berardis G., Pellegrini F., Franciosi M., Belfiglio M., Di Nardo B., Greenfield S., et al. Quality of care and outcomes in type 2 diabetic patients: a comparison between general practice and diabetic clinics. Diabetes Care 2004, 27:398-406.
11. Kim C., Williamson D.F., Mangione C.M., Safford M.M., Selby J.V., Marrero D.G., et al. Managed care organization and the quality of diabetes care: the Translating Research into Action for Diabetes (TRIAD) Study. Diabetes Care 2004, 27:1529-1534.
12. Department of Health, Republic of China. Available at: [accessed 20.07.12]. http://www.doh.gov.tw/statistic/data.
13. Tseng F.Y. Quality of medical care for noninsulin-dependent diabetic patients in a community teaching hospital in Taiwan. J Formos Med Assoc 1996, 95:414-416.
14. Chen T.L., Lu C.H., Huang T.B., Lin G.Y. Out-patient care of persons with diabetes before participation in the shared care program in Chia-Yi area. Public Health Q 2000, 26:319-330.
15. Chuang L.M., Tsai S.T., Huang B.Y., Tai T.Y. The status of diabetes control in Asia - a cross-sectional survey of 24317 patients with diabetes mellitus in 1998. Diabet Med 2002, 19:978-985. Diabcare-Asia 1998 Study Group.
16. Tseng F.Y., Lai M.S., Syu C.Y., Lin C.C. Professional accountability for diabetes care in Taiwan. Diabetes Res Clin Pract 2006, 71:192-201.
17. National Health Insurance medical quality open network. Available at: [accessed 20.07.12]. http://www.nhi.gov.tw/mqinfo/DAOption.aspx%3fType%3dDM%26List%3d4.
18. Chistiakov D.A. Diabetic retinopathy: pathogenic mechanisms and current treatments. Diabetes Metab Syndr 2011, 5:165-172.
19. Nichols G.A., Vupputuri S., Lau H. Medical care costs associated with progression of diabetic nephropathy. Diabetes Care 2011, 34:2374-2378.
20. Manns B., Hemmelgarn B., Tonelli M., Au F., Chiasson T.C., Dong J., et al. Population based screening for chronic kidney disease: cost effectiveness study. Br Med J 2010, 314:c5869-c5880.
21. Hex N., Bartlett C., Wright D., Taylor M., Varley D. Estimating the current and future costs of type 1 and type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabetes Med 2012, 29:855-862.
22. Chou P., Chen H.H., Hsiao K.J. Community-based epidemiological study on diabetes in Pu-Li, Taiwan. Diabetes Care 1992, 15:81-89.
23. Liu C.C., Chen K.R., Chen H.F., Huang H.L., Ko M.C., Li C.Y. Trends in hospitalization for diabetic ketoacidosis in diabetic patients in Taiwan: analysis of national claims data, 1997-2005. J Formos Med Assoc 2010, 109:725-734.